Provider Demographics
NPI:1780072041
Name:ABDELAZIZ, AMR (PT, MSC, DPT, CMP)
Entity type:Individual
Prefix:DR
First Name:AMR
Middle Name:
Last Name:ABDELAZIZ
Suffix:
Gender:M
Credentials:PT, MSC, DPT, CMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 81ST ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1806
Mailing Address - Country:US
Mailing Address - Phone:917-472-7003
Mailing Address - Fax:
Practice Address - Street 1:162 E 78TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0406
Practice Address - Country:US
Practice Address - Phone:917-472-7003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03600-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist